Is there a role for radiotherapy to the primary in high volume metastatic prostate cancer with well controlled disease on ADT?

For which patients with high volume metastatic prostate cancer do you routinely offer prostate RT?

• All patients
• Patients with signs of impending obstructive uropathy
• Patients with bulky prostatic tumors
• Patients who are "high volume" by PET but "low volume" by conventional imaging
• Only for palliation of symptomatic disease not controlled after start of ADT
• I don't routinely offer prostate-directed RT for patients with high volume metastatic prostate ca
• Other